Health Homes for People Living with HIV/AIDS

Wisconsin operates the country’s first and only health home program for Medicaid beneficiaries living with HIV/AIDS. The state developed and implemented its HIV/AIDS health home program in response to state legislation requiring the Medicaid agency to design a reimbursement mechanism for care coordination for this population. The Centers for Medicare and Medicaid Services (CMS) approved Wisconsin’s Health Home State Plan Amendment (SPA) in January 2013, making the health home program retroactively effective beginning October 1, 2012.

Wisconsin’s health home SPA designates AIDS services organizations (ASO) as the only provider type eligible to operate a HIV health home. Eligible AIDS service organizations must be able to provide clinical services on-site or through contracts. The AIDS Resource Center of Wisconsin (ARCW), an ASO, operates the three health home sites in the state. Currently, ARCW is the only ASO operating in Wisconsin.